A 57-year-old male visited our clinic with chief complaint of exertional chest pain. He had been on anti-hypertensive medication for 15 years. In 1999, he went through coronary artery bypass graft surgery for myocardial infarction, using an aorto-left anterior descending artery (LAD) bypass with the left internal mammary artery, and aorto-right coronary artery (RCA) bypass with saphenous vein. ...

Background: Ehlers-Danlos syndrome type IV -vascular typeis an inherited connective tissue disorder characterized by several clinical features: easy bruisability, translucent skin, acrogeria and uterine, intestinal or arterial rupture. The arteries most frequently involved are the iliac, splenic, renal arteries and the aorta. Diagnosis is made utilizing clinical criteria (Beighton) and collagen...

A 77-year-old man underwent left lower-lung lobectomy for lung cancer in August 2009. He was free of angina before surgery. He presented to our hospital with exertional chest pain in September 2010. Exercise stress ECG revealed ST-segment depression in leads II, III, aVF, V5, and V6 with chest pain (Figure 1). Computed tomographic coronary angiography revealed a severe stenosis at the right cor...

Pain after cardiac surgery has long been neglected and considered insignificant. Postoperative pain has only recently been recognized as an important problem and a potential origin of persistent pain and long-term suffering. Changing surgical and anesthesia practices have placed new demands on postoperative care after cardiac surgery. There are few prospective studies of acute and persisting pa...

Coronary artery bypass grafting is still the most commonly performed procedure in cardiac surgery. Minimally invasive or endoscopic vessel harvesting was developed a decade ago. It has been shown that these less traumatic techniques significantly reduce wound healing problems and improve patient satisfaction. However, there are some concerns regarding bypass patency and long-term outcomes. The ...

spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. we report coronary artery dissection in a 36-year-old woman with retrosternal chest pain 2 weeks after abortion. electrocardiography showed st elevation in leads v2-v4 and st depression in the inferior leads. lab data were normal. cardiac catheterization showed a suspicious thrombotic les...

background: we presumed that the surgeon himself has an impact on the results after coronary artery bypass grafting (cabg) as there is no unique protocol for the discharge of post-operative cardiac patients at our institution. therefore, we examined whether the surgeon himself has an impact on the intensive care unit (icu) stay of isolated cabg patients. methods: we prospectively studied a tota...

background: left ventricular dysfunction is one of the most powerful predictors of early and late outcomes in patients who undergo coronary artery bypass grafting (cabg). the aim of this study was to assess the early results of cabg that predict 30-day mortality and prolonged length of hospital stay (los) after cabg in patients with an ejection fraction (ef) of 30% or less. methods: seven hundr...

background: cardiac rehabilitation is known as a powerful non-pharmacological approach for improving functional capacity, and left ventricular systolic function; however, some limited data have suggested an attenuation of the decline in diastolic function with this program. this study investigated the effect of high intensity aerobic exercise following coronary artery bypass surgery (cabg) on d...

introduction: doppler ultrasonography (dus) is the most preferable method for screening of carotid artery disease in patients undergoing cabg. the purpose of this study was to investigate the frequency of carotid artery disease and determine the relation between known risk factors of atherosclerosis and rate of carotid artery narrowing in order to identify high-risk groups among patients schedu...